Catastrophic Claims Advisor

Desjardins

. Investigate, evaluate, and negotiate highly complex accident benefit claims .

Posted 10/28/2026full-timeBurlington • CanadaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex accident benefit claims, ensuring compliance with regulatory standards, and facilitating effective communication with clients and stakeholders. Proficient in medical and legal terminology, with a strong focus on functional recovery and resolution of sensitive issues.

Highest-signal resume keywords

Accident Benefits Claim HandlingStatutory Accident Benefits ScheduleCIP DesignationMedical and Legal TerminologyDisability Management Principles

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaims NegotiationRegulatory ComplianceReserving PracticesSettlement Discussions

Soft Skills

Interpersonal SavvyCustomer FocusDecision QualityAction OrientedNimble Learning

Certifications & Qualifications

CIP Designation

Industry Keywords

Accident Benefit ClaimsFunctional RecoveryVocational RehabilitationLegal Counsel CollaborationClaim Payment Issuance

About the role

Key responsibilities & impact

Investigate, evaluate, and negotiate highly complex accident benefit claims
Ensure compliance with regulatory and contractual obligations and DGIG best practices
Maintain clear and timely communication with clients, provide claim-status updates, address inquiries, and guide clients through the claims process
Manage catastrophic claims with a focus on functional recovery
Identify and resolve complex or sensitive issues while supporting client well-being
Conduct settlement discussions and negotiate resolutions where appropriate
Collaborate with internal and external legal counsel on LAT disputes, reconsiderations, judicial reviews, mediations, and hearings
Collaborate with medical professionals, legal representatives, rehabilitation providers, and other stakeholders to support client recovery and claim resolution
Apply accurate reserving practices and ensure timely issuance of claim payments according to company standards and best practices

Requirements

What you’ll need

Bachelor's degree in a related field
A minimum of five years of relevant experience in accident benefits claim handling
Other combinations of qualifications and relevant experience may be considered
Advanced experience managing medical and disability files within the constraints of the Statutory Accident Benefits Schedule with a focus on functional recovery
CIP designation or enrolled in the program
Advanced proficiency of English due to the nature of the duties or work tools or because the position involves interactions with English-speaking partners, members and/or clients
Advanced knowledge of regulatory and contractual obligations, including the Statutory Accident Benefits Schedule
Advanced knowledge of medical and legal terminology, vocational rehabilitation concepts, and disability management principles
Action oriented, Business insight, Complexity, Customer Focus, Decision quality, Differences, Interpersonal Savvy, Nimble learning

Benefits

Comp & perks

Competitive salary and annual bonus
4 weeks of flexible vacation starting in the first year
Defined benefit pension plan that provides predictable, stable income throughout retirement
Group insurance including telemedicine
Reimbursement of health and wellness expenses and telework equipment
Recruitment process accommodations at any stage, upon request